District No.

WHEREAS from the information on oath and in writing sworn before me, *(a Judge of the District Court,) *(a Peace Commissioner,) on this day pursuant to section 25 of the above-mentioned Act by ........., of ..... , a member of the Garda Síochána not below the rank of sergeant, I AM SATISFIED THAT there are reasonable grounds for suspecting that

( a ) an offence under that Act or an offence referred to in section 16 (2) of that Act has been or is being committed *(on the premises) *(at the place ......... )

at ..... in the court (area and) district aforesaid, and

( b ) evidence that the offence has been or is being committed is *(on those premises,) *(at that place,)

THIS IS TO AUTHORISE ......., of ..........., a member of the Garda Síochána, accompanied by any other members of the Garda Síochána, at any time or times within one month from the date of the issue of this warrant, on production if so requested of this warrant, to enter, if need be by force, and search the *premises *(place .......... )

at ....... in the court (area and) district aforesaid and-

(i) to seize anything found there that he/she believes on reasonable grounds may be required to be used in evidence in any proceedings for an offence under that Act or an offence referred to in section 16 (2) of that Act, and

(ii) to require any person found there to give that member his or her name and address.

Dated this .... day of ......... 19 ....

at ........................

Signed ...................

Judge of the District Court

(or) Peace Commissioner

To the Superintendent of the Garda Síochána,

at .......................

*Delete words inapplicable.